PMID- 21450391 OWN - NLM STAT- MEDLINE DCOM- 20111024 LR - 20110617 IS - 1872-7654 (Electronic) IS - 0301-2115 (Linking) VI - 157 IP - 1 DP - 2011 Jul TI - Visuospatial ability correlates with performance in simulated gynecological laparoscopy. PG - 73-7 LID - 10.1016/j.ejogrb.2011.02.007 [doi] AB - OBJECTIVE: To analyze the relationship between visuospatial ability and simulated laparoscopy performed by consultants in obstetrics and gynecology (OBGYN). STUDY DESIGN: This was a prospective cohort study carried out at two community hospitals in Sweden. Thirteen consultants in obstetrics and gynecology were included. They had previously independently performed 10-100 advanced laparoscopies. Participants were tested for visuospatial ability by the Mental Rotations Test version A (MRT-A). After a familiarization session and standardized instruction, all participants subsequently conducted three consecutive virtual tubal occlusions followed by three virtual salpingectomies. Performance in the simulator was measured by Total Time, Score and Ovarian Diathermy Damage. Linear regression was used to analyze the relationship between visuospatial ability and simulated laparoscopic performance. The learning curves in the simulator were assessed in order to interpret the relationship with the visuospatial ability. RESULTS: Visuospatial ability correlated with Total Time (r=-0.62; p=0.03) and Score (r=0.57; p=0.05) in the medium level of the virtual tubal occlusion. In the technically more advanced virtual salpingectomy the visuospatial ability correlated with Total Time (r=-0.64; p=0.02), Ovarian Diathermy Damage (r=-0.65; p=0.02) and with overall Score (r=0.64; p=0.02). CONCLUSIONS: Visuospatial ability appears to be related to the performance of gynecological laparoscopic procedures in a simulator. Testing visuospatial ability might be helpful when designing individual training programs. CI - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved. FAU - Ahlborg, Liv AU - Ahlborg L AD - Center for Advanced Medical Simulation, Department of Clinical Science, Intervention and Technology, Karolinska University Hospital, Stockholm, Sweden.liv.ahlborg@ki.se FAU - Hedman, Leif AU - Hedman L FAU - Murkes, Daniel AU - Murkes D FAU - Westman, Bo AU - Westman B FAU - Kjellin, Ann AU - Kjellin A FAU - Fellander-Tsai, Li AU - Fellander-Tsai L FAU - Enochsson, Lars AU - Enochsson L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110330 PL - Ireland TA - Eur J Obstet Gynecol Reprod Biol JT - European journal of obstetrics, gynecology, and reproductive biology JID - 0375672 SB - IM MH - Adult MH - *Aptitude MH - Cohort Studies MH - *Computer Simulation MH - Consultants MH - Female MH - Gynecologic Surgical Procedures/adverse effects/*education/*methods MH - Gynecological Examination/adverse effects/*methods MH - Humans MH - Laparoscopy/adverse effects/*education MH - Learning Curve MH - Male MH - Middle Aged MH - Professional Competence MH - Prospective Studies MH - Salpingectomy/adverse effects/education/methods MH - Sterilization, Tubal/adverse effects/education/methods MH - Sweden MH - *Task Performance and Analysis MH - User-Computer Interface EDAT- 2011/04/01 06:00 MHDA- 2011/10/25 06:00 CRDT- 2011/04/01 06:00 PHST- 2010/05/10 00:00 [received] PHST- 2010/11/29 00:00 [revised] PHST- 2011/02/25 00:00 [accepted] PHST- 2011/04/01 06:00 [entrez] PHST- 2011/04/01 06:00 [pubmed] PHST- 2011/10/25 06:00 [medline] AID - S0301-2115(11)00119-9 [pii] AID - 10.1016/j.ejogrb.2011.02.007 [doi] PST - ppublish SO - Eur J Obstet Gynecol Reprod Biol. 2011 Jul;157(1):73-7. doi: 10.1016/j.ejogrb.2011.02.007. Epub 2011 Mar 30.